Individual
MRS. KATHLEEN O'KEEFE CHENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023384
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.023384
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201041560
—
IN
05
—
3135520
—
OH
Enumeration date
03/08/2011
Last updated
07/30/2025
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